Patient Outcomes

The EBFR Team is strongly committed to an evidence based approach to injury rehabilitation. The key outcome variables for EBFR participants during the year 2012 are as follows:

Return to work and/or structured activity outside the home (school, volunteer):

    -Of the 54 patients enrolled in 2012, at discharge 74% were released to pursue work and/or school or volunteer activity outside the home.

Functional tolerances measured objectively:

  • -Aerobic activity: 393% increase (58 minutes each session at discharge)
  • -Strength measurements (summary average for lifting, carrying, grip): 136% increase
  • -Sitting tolerance: 140% increase (55 minutes)
  • -Standing tolerance: 129% increase (42 minutes)

Reduction in opioid use:

  • -Average Morphine Equivalent Dose (MED) decrease by discharge: 73%
  • -Two thirds of patients on 10 mg MED or less at discharge
  • -One fifth of patients at zero mg at discharge
  • -Modal discharge dosage: prn one tramadol 50 mg or equivalent

Patients’ self-rating of outcome (averages):

Scale of improvement (all domains in “improved” direction):

    1=slight improvement; 2=moderate; 3=much improved; 4=very much improved)
  • Pain coping ability: 2.8
  • Attitude toward pain (acceptance): 2.9
  • Strength: 2.5
  • Endurance: 2.6
  • ROM: 2.5
  • Knowledge of condition: 3.2
  • Body mechanics: 3.1
  • Emotional State: 3
  • ADLs: 2.4
  • Ability to socialize: 2.7

92% of EBFR participants were discharged at maximum medical improvement.

Only about one in six patients evaluated for treatment at EBFR requires the full 21 session functional restoration program (3 days per week, 6.5 hours per day). The majority of patients require our less intensive program: the Pain Coping Skills Group (once per week for two hours of cognitive behavioral group counseling and education).